Arch Pediat Adol Med
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Arch Pediat Adol Med · Jun 1995
Hypocarbia before surfactant therapy appears to increase bronchopulmonary dysplasia risk in infants with respiratory distress syndrome.
To determine to what extent the risk of bronchopulmonary dysplasia is affected by ventilatory management before the first dose of rescue artificial surfactant. ⋯ Ventilatory management before rescue treatment with artificial surfactant therapy that result in hypocarbia may increase the risk of bronchopulmonary dysplasia. These findings suggest that early ventilatory management should not only provide adequate oxygenation but also limit hyperventilation.
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To examine the personal behavior of primary care pediatricians in Alabama with respect to a gun control policy. The American Academy of Pediatrics supports removal of handguns from homes, safe gun storage in homes with guns, and counseling patients about gun safety practices. ⋯ A large proportion of Alabama pediatricians are gun owners, but most store weapons safely. Although long gun owners were less likely to use car seats or bike helmets and less likely to counsel patients regarding bike helmet use, no effect of gun ownership on counseling about gun safety was identified.
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Arch Pediat Adol Med · Mar 1995
Comparative StudyOutcome of infants with birth weights less than 1000 g with respiratory distress syndrome treated with high-frequency ventilation and surfactant replacement therapy.
To compare outcomes in premature infants with respiratory distress syndrome who received surfactant replacement therapy and were treated with either high-frequency or conventional mechanical ventilation. ⋯ We conclude that high-frequency ventilation combined with surfactant therapy is as safe as conventional mechanical ventilation combined with surfactant therapy for treating respiratory distress syndrome in extremely low-birth-weight infants (< 1000 g) and does not increase the risk of either intraventricular hemorrhage or abnormal neurodevelopmental outcome.
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Arch Pediat Adol Med · Mar 1995
Decision rules for roentgenography of children with acute ankle injuries.
The Ottawa Ankle Rules (OAR) assist emergency physicians in the appropriate use of roentgenography in adults with acute ankle injuries. The OAR state that ankle roentgenograms are needed only if there is pain near the malleoli and one or more of the following exists: (1) age 55 years or older; (2) inability to bear weight; or (3) bone tenderness at the posterior edge or tip of either malleolus. This study assessed the utility of the OAR on pediatric patients with acute ankle injuries. ⋯ Initial testing suggests that the OAR may help determine which children with acute ankle injuries could safely forgo roentgenograms without risk of missing fractures.
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Arch Pediat Adol Med · Feb 1995
Randomized Controlled Trial Comparative Study Clinical TrialMetered-dose inhalers with spacers vs nebulizers for pediatric asthma.
To determine whether the administration of beta-agonists by metered-dose inhaler (MDI) with a spacer device is as effective as the administration of beta-agonists by nebulizer for the treatment of acute asthma exacerbations in children. ⋯ These data suggest that MDIs with spacers may be an effective alternative to nebulizers for the treatment of children with acute asthma exacerbations in the ED.